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Fill a Valid Replacement Check Request Georgia Template

The Replacement Check Request Georgia form is a document used to request a new check for a refund that was mailed but not received. This form can also be utilized to stop payment on checks that have been lost, stolen, or destroyed. Understanding the proper use of this form is essential for taxpayers seeking to resolve issues with their refund checks efficiently.

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Fill a Valid Replacement Check Request Georgia Template

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Common mistakes

Not waiting the required time: Many people request a replacement check before the 15 business days have passed since the original check was mailed.
Incorrect tax year: Failing to specify the correct refund tax year can lead to delays or rejections of the request.
Missing taxpayer information: Omitting essential details like the Social Security Number or State Tax Identification Number can complicate the process.
Not providing a valid reason: Choosing an unclear or incorrect reason for the request can result in confusion and delays.
Ignoring the declaration: Forgetting to sign the declaration can invalidate the request, as it confirms the information is true and complete.
Using the wrong submission method: Some individuals fail to follow the provided instructions for mailing or faxing the form, which can lead to processing issues.
Not including a Power of Attorney: If represented by someone else, failing to attach the necessary Power of Attorney form can halt the request.
Providing outdated contact information: Using an old mailing address or phone number can result in missed communications from the Department.
Not allowing processing time: Some people expect immediate responses and do not allow the recommended 10-15 business days for processing.

Essential Points on This Form

What is the purpose of the Replacement Check Request Georgia form?

This form is designed for individuals or businesses to request a replacement for a refund check that was mailed but never received. It can also be used to stop payment on a check that has been lost, stolen, or destroyed. Additionally, if a refund check has expired—meaning it has not been cashed for more than 180 days after issuance—this form is the appropriate way to request a replacement.

When should I use this form?

You should use this form if you have not received your refund check and it has been more than 15 business days since it was mailed. It is also appropriate to use if your check has been lost, stolen, or destroyed. If the check has expired, this form allows you to request a new one. Make sure to select the correct reason for your request on the form.

How long does it take to process the Replacement Check Request?

The processing time for your completed form typically takes between 10 to 15 business days. It is important to be patient during this period, as the department needs time to verify your request and issue a new check.

What information do I need to provide on the form?

You will need to provide several pieces of information, including your name or the name of your business, Social Security numbers, and details about the check, such as the refund amount and tax type. Additionally, you must include your mailing address and a daytime telephone number for any follow-up communication.

What happens if I find my original check after submitting the request?

If you find your original check after you have submitted the Replacement Check Request, do not cash it. Instead, you must return the original check to the Georgia Department of Revenue. This is important because a stop payment will have been issued on the original check, and cashing it could lead to complications.

Can someone else submit this form on my behalf?

Yes, if you are being represented by an attorney, accountant, or another third party, they can submit the form for you. However, you must include a properly executed Power of Attorney (Form RD-1061) with your request. This document authorizes the representative to act on your behalf regarding this matter.

How do I submit my completed form?

You can submit your completed Replacement Check Request form to the Georgia Department of Revenue either by mailing it to their designated address or by faxing it. The mailing address is Georgia Department of Revenue, 1800 Century Center Blvd NE, Suite 3104, Atlanta, GA 30345-3212. If you choose to fax, the number is 404-417-4391.

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Replacement Check Request Georgia Sample

Clear

(R evised 4/29/15)

Form IA-81

Replacement Check Request Form

GENERAL INSTRUCTIONS

•DO Use this form to replace a refund check that has been mailed but never received.

•DO Use this form to request a stop payment on a check that has been lost, stolen or destroyed.

•DO Use this form if you have a refund check that has expired and has not been cashed for more than 180 days after issuance.

•DON’T Request a replacement check if it has been less than 15 business days since the check was mailed.

•PLEASE Allow 10-15 business days processing time for your completed form.

REFUND TAX YEAR: _____________

REFUND AMOUNT: $_______________

Check Tax Type:

Individual

Sales and use tax

Withholding

Motor Fuel

IFTA

Corporate

TAXPAYER INFORMATION (E-mail: ____________________________________________)

Primary Taxpayer Name or Name of Business:

Spouse Name (if applicable):

SSN

(spouse, if applicable)

State Tax Identification Number (STI)

Check Number (if known)

Mailing Address on Return:

City

State

Zip

Current Mailing Address: (if different from above)

City

State

Zip

Daytime Telephone Number

Fax Number

Name of Contact Person (if applicable)

Reasons for request (choose one):

Check Never Received

Lost

Stolen

Expired

Destroyed

Other (Please Explain :__________________________________)

Note: A “STOP PAYMENT” will be issued on the original refund check upon receipt of this form. If you receive/find your original check after submitting this form, please destroy the check.

DECLARATION:

I hereby declare, under penalties of perjury, that I have examined this request and, to the best of my knowledge and belief, it is true, correct and complete. If you are being represented by an attorney, accountant, or other third party, a properly executed Power of Attorney (Form RD-1061) authorizing the representative to act for the taxpayer must be included with this form.

Taxpayer’s Signature and Date

Spouse’s Signature and Date (if applicable)

Representative’s Name

Title (if applicable)

Representative’s Signature

Date

HOW TO SUBMIT YOUR FORM: You may submit your completed request to the Department as follows:

Mail to: Georgia Department of Revenue, PO Box 740389, Atlanta, GA 30374-0389

Key takeaways

When filling out the Replacement Check Request Georgia form, keep the following key points in mind:

Purpose of the Form: This form is specifically designed to replace a refund check that has been mailed but not received.
Lost or Stolen Checks: Use this form to request a stop payment on checks that have been lost, stolen, or destroyed.
Expired Checks: If your refund check has expired and has not been cashed for more than 180 days, this form is necessary.
Timeframe: Do not request a replacement check until at least 15 business days have passed since the original check was mailed.
Processing Time: After submitting your completed form, allow 10-15 business days for processing.
Declaration Requirement: You must declare that the information provided is true and complete, under penalties of perjury.
Power of Attorney: If someone is representing you, include a properly executed Power of Attorney form with your request.
Submission Options: You can submit your completed form via mail or fax to the Georgia Department of Revenue.

Following these guidelines will help ensure a smooth process for obtaining your replacement check. Be thorough and accurate in your completion of the form to avoid delays.

Document Characteristics

Fact Name	Details
Purpose of the Form	This form is used to request a replacement for a refund check that has been mailed but not received, or to stop payment on a check that is lost, stolen, or destroyed.
Processing Time	Once the completed form is submitted, it typically takes 10-15 business days for processing.
Eligibility Criteria	A replacement check request can be made if the original check has not been received within 15 business days of mailing, has expired after 180 days, or has been lost or stolen.
Governing Law	This form is governed by the Georgia Department of Revenue regulations regarding tax refund processes.